Short Term Outcome Measures of Chromic Catgut Versus Vicryl Rapide for Episiotomy Repair

  • Misbah Naseer Medical Officer, Benazir Bhutto Hospital, Rawalpindi
  • Humera Noreen Assistant Professor of Obs/Gynae, Rawalpindi Medical University, Benazir Bhutto Hospital, Rawalpindi

Abstract

OBJECTIVE: To compare the short term outcome measures of chromic catgut versus vicryl rapide for episiotomy repair, in terms of frequency of perineal pain and wound dehiscence.


PLACE AND DURATION: This study was conducted in the Department of Obstetrics and Gynaecology Benazir Bhutto Hospital, Rawalpindi, during a period of six months from December 2014 to May 2015.


METHODOLOGY:  Total 220 patients who fulfilled the inclusion criteria of study were included in the study. Patients were divided into two groups by lottery method.


In Group A episiotomies were sutured with chromic  catgut  1-0  (30mm, ½ circle round bodied needle)  and  Group B with for  vicryl  rapide  1-0  (36mm, ½ circle round bodied needle).  All the episiotomies were right mediolateral and sutured by residents on call.  The repair was done according to departmental protocols and suture material used according to   randomization.


The main outcome measures were perineal  pain and wound dehiscence. Perineal pain within 48 hours assessed by visual analogue scale (VAS) and wound dehiscence was  recorded  within  3 weeks  postpartum. Chi-square test was applied and results tabulated. P- Value <0.05 was taken as significant.  


RESULTS: Among 220 total patients, majority of the patients between 21-30 years, seventy four percent (n=163) of patients were at gestational age of 31-40 weeks. Mostly patients were primigravidas 67.3% (n=148).


Perineal pain was recorded in 68.6% (n=151), the pain was mild in 45% (n=68), moderate in 36.4 %( n=55) and severe in 18.5% (n=28). (P-value=0.000)  Wound dehiscence was found in 20% and 9.1% of Group A and B respectively. (P-value=0.034)


CONCLUSION: Vicryl rapide was the better suture material  for episiotomy repair, which resulted in less perineal pain and  better  wound healing  as  compared  to  chromic  catgut.

Published
2019-01-01
How to Cite
NASEER, Misbah; NOREEN, Humera. Short Term Outcome Measures of Chromic Catgut Versus Vicryl Rapide for Episiotomy Repair. Journal of the Society of Obstetrics and Gynaecologists of Pakistan, [S.l.], v. 8, n. 4, p. 214-221, jan. 2019. ISSN 2307-7115. Available at: <http://jsogp.net/new/index.php/jsogp/article/view/190>. Date accessed: 16 jan. 2019.
Section
Original Articles